All tools should be con­sid­ered in fight against fraud, waste

Modern Healthcare - - COMMENT -

The re­cent Vi­tal Signs blog post “Should Medi­care make the switch to elec­tronic cards?” (ModernHealth, April 27) of­fers great in­sights. In­for­ma­tion tech­nol­ogy re­search firm Gart­ner re­cently re­ported that fraud, waste and abuse in health­care was es­ti­mated to cost $60 bil­lion to $80 bil­lion an­nu­ally be­cause of ei­ther a de­lib­er­ate at­tempt to de­ceive the sys­tem or in­ef­fi­cient ad­min­is­tra­tive pro­cesses and sys­tems. So any at­tempt to re­duce fraud and waste while im­prov­ing op­er­a­tions should be con­sid­ered.

In­for­ma­tion tech­nol­ogy and real­time data are chang­ing the work­place no mat­ter the in­dus­try or an in­di­vid­ual’s role. IT can help pay­ers be more proac­tive in de­tect­ing and pre­vent­ing fraud. In the case of elec­tronic cards for Medi­care, it could also help save money, im­prove ef­fi­ciency and pro­vide a bet­ter cus­tomer ex­pe­ri­ence.

Kelly Rakowski Se­nior vice pres­i­dent of health­care payer ser­vices

Xerox Mil­wau­kee

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